Randy W Clark
Randy W Clark is an Addiction (Substance Use Disorder) Counselor in Summerfield, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2026
Practice location Address checks out
14911 SE 73rd AveSummerfield, FL 34491-4225
Phone: (352) 789-2908
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CAP.0100612 (FL) |
|---|
Record details
| NPI number | 1134086986 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 5, 2026 |
| Last updated in NPPES | February 23, 2026 |
| Certification date | February 23, 2026 |
| Mailing address | 14911 Se 73rd Ave, Summerfield, FL 34491-4225 |
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